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CSB 调查 报告号 2020-01-I-TX 2019 年 安全 Safety 环境 Environmental
Aghorn 注水泵站硫化氢泄漏(敖德萨)
Aghorn Operating waterflood station, Odessa, Texas
关联设备 → 离心泵 (centrifugal_pump)
2死亡
0受伤
泄漏机理码 ELP
失效模式 · ISO 14224 对接
损伤机理(本库记录)
泄漏ELP
ISO 功能码(源记录)
ISO 14224:2016 功能失效码
ELP · 外漏-工艺介质
1发生了什么

注水泵站泵房 H2S 积聚泄漏,检测/报警与 LOTO 失效,人员暴露

2根本原因

H2S 检测/报警失效、LOTO 未执行,泵房 H2S 积聚泄漏;2 死(1 工人+1 公众)

3可靠性启示(基于调查根因整理)
  • H2S 检测/报警失效、LOTO 未执行,泵房 H2S 积聚泄漏;2 死(1 工人
  • 1 公众)
4关联失效机理(关键词)
离心泵 硫化氢 H2S 泄漏 检测 闭锁 泵房
关于失效模式码(点开)

本卡记录码 ELP 即 ISO 14224:2016 功能失效码(描述「设备没做成什么」)。损伤机理(描述「怎么坏的」)见上方对接块。两者是 ISO 14224 的两个不同维度。

5证据来源(透明标注)
权威机构:U.S. Chemical Safety and Hazard Investigation Board (CSB)
官方报告:www.csb.gov ↗
数据核验:verified_url_csb_sitemap
关联失效模式 · 可追溯链
汽蚀叶片蚀损 (Cavitation Pitting) cavitation_pitting冲蚀磨损 (Erosion Wear) erosion_wear腐蚀穿孔 (Corrosion Perforation) corrosion_perforation叶片疲劳断裂 (Fatigue Fracture) fatigue_fracture叶轮流道堵塞 (Flow Passage Blockage) flow_passage_blockage叶轮不平衡 (Imbalance) imbalance间隙磨损扩大 (Clearance Wear) clearance_wear卡涩/咬死 (Seizure/Galling) seizure_galling偏磨 (Uneven Wear) uneven_wear内部腐蚀减薄 (Internal Corrosion Thinning) internal_corrosion_thinning裂纹/穿孔 (Crack/Perforation) crack_perforation法兰面泄漏 (Flange Leakage) flange_leakage蜗壳冲蚀 (Volute Erosion) volute_erosion汽蚀损伤 fm叶片断裂 fm_2端面泄漏 (Face Leakage) face_leakageO型圈老化 (O-ring Aging) o_ring_aging弹簧卡涩/断裂 (Spring Sticking/Fracture) spring_sticking_fracture辅助密封失效 (Secondary Seal Failure) secondary_seal_failure干运转烧毁 (Dry-running Burn) dry_running_burn过滤器堵塞 (Filter Clogging) filter_clogging隔离液泄漏/污染 (Barrier Fluid Loss) barrier_fluid_loss蓄能器气囊失效 (Bladder Failure) bladder_failure节流孔板堵塞 (Orifice Clogging) orifice_clogging表面磨损 (Surface Wear) surface_wear腐蚀点蚀 (Corrosion Pitting) corrosion_pittingO型圈槽密封失效 (O-ring Groove Leak) o_ring_groove_leak疲劳断裂 (Fatigue Fracture) fatigue_fracture_2弯曲变形 (Bending) bending键槽磨损/裂纹 (Keyway Wear/Crack) keyway_wear_crack轴颈磨损 (Journal Wear) journal_wear疲劳剥落 (Fatigue Spalling) fatigue_spalling润滑失效 (Lubrication Failure) lubrication_failure电蚀 (Electrical Erosion) electrical_erosion保持架断裂 (Cage Fracture) cage_fracture微动腐蚀 (Fretting Corrosion) fretting_corrosion非驱动端轴承失效 fm_3轴承疲劳剥落失效 fm_4驱动端轴承失效 d轴承过热失效 e轴承润滑失效 fm_5泵轴失效 fm_6轴承失效 fm_7密封失效→进水/进尘 (Contamination) contamination润滑脂劣化 (Grease Degradation) grease_degradation油位镜破损泄漏 (Oil Sight Glass Leak) oil_sight_glass_leak膜片疲劳断裂 (Diaphragm Fatigue) diaphragm_fatigue弹性体老化 (Elastomer Aging) elastomer_aging螺栓松动/断裂 (Bolt Loosening) bolt_loosening对中不良导致过热 (Misalignment Overheating) misalignment_overheating软脚 (Soft Foot) soft_foot灌浆层开裂 (Grout Cracking) grout_cracking地脚螺栓松动/腐蚀 (Anchor Bolt Loosening) anchor_bolt_loosening滤网堵塞 (Screen Clogging) screen_clogging滤网破损 (Screen Damage) screen_damage阀芯卡涩 (Valve Sticking) valve_sticking定位器故障 (Positioner Failure) positioner_failure传感器漂移 (Sensor Drift) sensor_drift接线松动 (Wiring Looseness) wiring_looseness汽蚀叶片蚀损 (Cavitation Pitting) cavitation_pitting冲蚀磨损 (Erosion Wear) erosion_wear腐蚀穿孔 (Corrosion Perforation) corrosion_perforation叶片疲劳断裂 (Fatigue Fracture) fatigue_fracture叶轮流道堵塞 (Flow Passage Blockage) flow_passage_blockage叶轮不平衡 (Imbalance) imbalance间隙磨损扩大 (Clearance Wear) clearance_wear卡涩/咬死 (Seizure/Galling) seizure_galling偏磨 (Uneven Wear) uneven_wear内部腐蚀减薄 (Internal Corrosion Thinning) internal_corrosion_thinning裂纹/穿孔 (Crack/Perforation) crack_perforation法兰面泄漏 (Flange Leakage) flange_leakage蜗壳冲蚀 (Volute Erosion) volute_erosion汽蚀损伤 fm叶片断裂 fm_2端面泄漏 (Face Leakage) face_leakageO型圈老化 (O-ring Aging) o_ring_aging弹簧卡涩/断裂 (Spring Sticking/Fracture) spring_sticking_fracture辅助密封失效 (Secondary Seal Failure) secondary_seal_failure干运转烧毁 (Dry-running Burn) dry_running_burn过滤器堵塞 (Filter Clogging) filter_clogging隔离液泄漏/污染 (Barrier Fluid Loss) barrier_fluid_loss蓄能器气囊失效 (Bladder Failure) bladder_failure节流孔板堵塞 (Orifice Clogging) orifice_clogging表面磨损 (Surface Wear) surface_wear腐蚀点蚀 (Corrosion Pitting) corrosion_pittingO型圈槽密封失效 (O-ring Groove Leak) o_ring_groove_leak疲劳断裂 (Fatigue Fracture) fatigue_fracture_2弯曲变形 (Bending) bending键槽磨损/裂纹 (Keyway Wear/Crack) keyway_wear_crack轴颈磨损 (Journal Wear) journal_wear疲劳剥落 (Fatigue Spalling) fatigue_spalling润滑失效 (Lubrication Failure) lubrication_failure电蚀 (Electrical Erosion) electrical_erosion保持架断裂 (Cage Fracture) cage_fracture微动腐蚀 (Fretting Corrosion) fretting_corrosion非驱动端轴承失效 fm_3轴承疲劳剥落失效 fm_4驱动端轴承失效 d轴承过热失效 e轴承润滑失效 fm_5泵轴失效 fm_6轴承失效 fm_7密封失效→进水/进尘 (Contamination) contamination润滑脂劣化 (Grease Degradation) grease_degradation油位镜破损泄漏 (Oil Sight Glass Leak) oil_sight_glass_leak膜片疲劳断裂 (Diaphragm Fatigue) diaphragm_fatigue弹性体老化 (Elastomer Aging) elastomer_aging螺栓松动/断裂 (Bolt Loosening) bolt_loosening对中不良导致过热 (Misalignment Overheating) misalignment_overheating软脚 (Soft Foot) soft_foot灌浆层开裂 (Grout Cracking) grout_cracking地脚螺栓松动/腐蚀 (Anchor Bolt Loosening) anchor_bolt_loosening滤网堵塞 (Screen Clogging) screen_clogging滤网破损 (Screen Damage) screen_damage阀芯卡涩 (Valve Sticking) valve_sticking定位器故障 (Positioner Failure) positioner_failure传感器漂移 (Sensor Drift) sensor_drift接线松动 (Wiring Looseness) wiring_looseness火灾时无法启动 fwp_fail_to_start叶轮磨损/汽蚀 fwp_impeller_wear稳压泵(jockey)失效 fwp_jockey_fail止回阀失效/回流 fwp_check_valve_fail吸水口堵塞/液位低 fwp_suction_loss联轴器不对中/失效 fwp_coupling_fail测试/泄压阀卡涩 fwp_test_relief_fail泵体/管路腐蚀(长期备用) fwp_corrosion同步齿轮齿面磨损 timing_gear_wear同步齿轮断齿 timing_gear_tooth_fracture螺杆/转子磨损·间隙增大·内漏 rotor_wear_clearance汽蚀(NPSH 不足) cavitation对中不良·不平衡·振动 misalignment_imbalance温升过高 overheating基础松动·共振 foundation_resonance柱塞填料泄漏 packing_leakage阀片断裂 valve_disc_fracture柱塞磨损/划伤 plunger_wear_scoring液力端裂纹 liquid_end_cracking排量不足/打量下降 capacity_loss十字头磨损/敲缸 crosshead_knock汽蚀(NPSH 不足) cavitation安全阀起跳/内漏 relief_valve_leak润滑油污染变质 lube_oil_degradation联轴器对中不良 coupling_misalignment
报告号 2020-01-I-TX · 数据取自 CSB 公开调查结论,由可靠性 AI 整理,仅作可靠性展示用途。 本卡案例来自公开事故调查报告,仅供学习参考,AIM 不背书、不保证其准确性。